Form Center

2. Any person who keeps chickens and/or ducks in the Village shall obtain an annual license prior to January 1st of each year, or within 30 days of acquisition. The keeping of chickens and ducks is governed by Ordinance 21.11 and Chapter 84 of the Village Code of Ordinances.

4. Applicant Name*
5. Primary Phone Number*
7. Address*
9. Email Address*
11. Please check each duty to signify agreement*

    1. No more than 6 chickens and/or ducks total, may be harbored or kept upon any lot within the Village
    2. No roosters shall be permitted
    3. Slaughtering of chickens or ducks is prohibited
    4. The sale of chickens or ducks, meat, eggs, or other by-products is prohibited without the approval of the Zoning Administrator and the Wisconsin Department of Agriculture Trade and Consumer Protection
    5. If Applicant is not the owner of the premises, applicant must provide written consent of the owner
    6. The owner of the chickens or ducks shall reside on the premises
    7. The enclosure area for any chickens or ducks shall conform to any and all regulations regarding accessory buildings for the zoning district in which the enclosure is situated

13. The applicant is solely responsible for the well-being of the chickens and/or ducks, condition of enclosure, and full compliance with Village Ordinance 21.11. The license is subject to all municipal codes in addition to all rules governing animal control. The applicant agrees to indemnify, defend and hold harmless the Village of Cross Plains and its officers, officials, employees and agents from and against any and all liability, loss, damage, expenses, costs, including attorney fees arising out of the activities performed as authorized by the license, caused in whole or part by any acts, negligent or otherwise, or any omission of the applicant, anyone directly or indirectly employed by the applicant or anyone whose acts on behalf of the applicant may be liable, except where caused by the sole negligence or willful misconduct of the Village.

15. Applicant Signature*
16. Date*
    Date

18. Upon submitting this application, you will be directed to the Municipay website to pay for your license. Please select 'GENERAL' as your item and type in 'CHICKEN LICENSE' as well as your last name, as your account number.

    If you have questions about this process, please give us a call at 608-798-3241.

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field